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A nurse is providing discharge teaching to the guardian of a school-age child who
has undergone a tonsillectomy. Which of the following statements by the guardian
indicates an understanding the teaching?
a. "My child can resume usual activities since this was just an outpatient surgery."
b. "My child will be able to drink the chocolate milkshake I promised to get for
them tonight."
c. "I will notify the doctor if I notice that my child is swallowing frequently."
d. "I will have my child gargle with warm salt water to relieve their sore throat."
"I will notify the doctor if I notice that my child is swallowing frequently."
A community health nurse is assessing an 18-month-old toddler in a community
day care. Which of the following findings should the nurse identify as a potential
indication of physical neglect?
a. Resists having an axillary temperature taken
b. Exhibits withdrawal behaviors when their parent leaves
c. Has multiple bruises on their knees
d. Poor personal hygiene
d. Poor personal hygiene
A nurse assessing a school-age child who has an infratentorial brain tumor. Which
of the following findings should the nurse identify as a manifestation of increased
,intracranial pressure?
a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia
c. Difficulty concentrating
A nurse is providing teaching to an adolescent about how to manage tinea pedis.
Which of the following statements by the adolescent indicates an understanding of
the teaching?
a. "I should buy plastic shoes to wear at the swimming pool."
b. "I should wear sandals as much as possible."
c. "I should place the permethrin cream between my toes twice daily."
d. "I should seal my no washable shoes in plastic bags for a couple of weeks."
b. "I should wear sandals as much as possible."
A nurse is caring for a school-age child who has diabetes mellitus and was
admitted with a diagnosis of diabetic ketoacidosis. When performing the
respiratory assessment, which of the following findings should the nurse expect?
a. Deep respirations of 32/min
b. Shallow respirations of 10/min
c. Paradoxic respirations of 26/min
d. Periods of apnea lasting for 20 seconds
a. Deep respirations of 32/min
A nurse is planning an educational program to teach parents about protecting their
children from sunburns. Which of the following instructions should the nurse plan
to include?
a. "Allow your child to play outside during the hours between 10:00 a.m. and 2:00
p.m."
,b. "Choose a waterproof sunscreen with a minimum SPF of 15."
c. "Dress your child in loose weave polyester fabric prior to sun exposure."
d. "Reapply sunscreen every 4 hours."
b. "Choose a waterproof sunscreen with a minimum SPF of 15."
A nurse is providing teaching to the parents of a preschooler who has heart failure
and a new prescription for digoxin twice daily. Which of the following instructions
should the nurse include in the teaching?
a. "Use a kitchen teaspoon to measure the medication."
b. "Brush the child's teeth after giving the medication."
c. "Double the next dose if the child misses a dose."
d. "Repeat the dose if the child vomits."
b. "Brush the child's teeth after giving the medication."
A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which if the following instructions should the nurse include in
the teaching?
a. "Limit movement of the child's large joints."
b. "Encourage the child to perform independent self-care."
c. "Provide the child with a soft mattress for sleeping."
d. "Schedule a 2-hour daily nap for the child in the afternoon."
b. "Encourage the child to perform independent self-care."
A nurse is creating a plan of care for a child who has varicella. Which of the
following interventions should the nurse include?
a. Maintain the child's room temperature at 80° F.
b. Prepare the child for a lumbar puncture.
c. Administer aspirin to the child for a temperature greater than 38.3° C (101° F).
d. Initiate airborne precautions for the child.
Initiate airborne precautions for the child.
, A school nurse is providing an in-service for faculty about improving education for
students who have ADHD. Which of the following statements by a faculty member
indicates an understanding of the teaching?
a. "I will plan to increase the amount of homework I assign to students who have
ADHD."
b. "I will give students who have ADHD the same amount of time as other students
to complete tests."
c. "I will allow students who have ADHD one rest break throughout the day."
d. "I will teach challenging academic subjects to students who have ADHD in the
morning."
"I will teach challenging academic subjects to students who have ADHD in the
morning."
A nurse is caring for a school-age child who has peripheral edema. The nurse
should identify that which of the following assessments should be performed to
confirm peripheral edema?
a. Palpate the dorsum of the child's feet.
b. Weigh the child daily using the same scale.
c. Assess the child's skin turgor.
d. Observe the child for periorbital swelling.
Palpate the dorsum of the child's feet.
A nurse is caring for an infant who is receiving IV fluids for the treatment of
Tetralogy of Fallot and begins to have hypercryanotic spell. Which of the
following actions should the nurse take?
a. Place the infant in a knee-chest position.
b. Administer a dose of meperidine IV.
c. Discontinue administration of IV fluids.
d. Apply oxygen at 2 L/min via nasal cannula.
Place the infant in a knee-chest position.
A nurse is reviewing the dietary choices of an adolescent who has iron deficiency
anemia. The nurse should identify that which of the following menu items has the